This slide shows the remainder of the prior written notice form including the closing paragraph, signature and any required enclosures which are provided as drop-down options.

A district should not leave any of the required prior written notice sections blank. Rather, it should indicate the reason it is not providing information in the text box (for example, if there are no other factors that are relevant to the proposed or refused action, the district should add a statement to that effect in this section of the form).